J. Med. Internet Res. - Evaluating a web-based clinical decision support system for language disorders screening in a nursery school.

Tópicos

{ extract(1171) text(1153) clinic(932) }
{ process(1125) use(805) approach(778) }
{ case(1353) use(1143) diagnosi(1136) }
{ first(2504) two(1366) second(1323) }
{ care(1570) inform(1187) nurs(1089) }
{ patient(1821) servic(1111) care(1106) }
{ system(1976) rule(880) can(841) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ analysi(2126) use(1163) compon(1037) }
{ detect(2391) sensit(1101) algorithm(908) }
{ spatial(1525) area(1432) region(1030) }
{ age(1611) year(1155) adult(843) }
{ implement(1333) system(1263) develop(1122) }
{ imag(2830) propos(1344) filter(1198) }
{ assess(1506) score(1403) qualiti(1306) }
{ clinic(1479) use(1117) guidelin(835) }
{ search(2224) databas(1162) retriev(909) }
{ time(1939) patient(1703) rate(768) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ howev(809) still(633) remain(590) }
{ import(1318) role(1303) understand(862) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ high(1669) rate(1365) level(1280) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ take(945) account(800) differ(722) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ data(3963) clinic(1234) research(1004) }
{ research(1085) discuss(1038) issu(1018) }
{ model(2341) predict(2261) use(1141) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ patient(2837) hospit(1953) medic(668) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ method(1219) similar(1157) match(930) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: Early and effective identification of developmental disorders during childhood remains a critical task for the international community. The second highest prevalence of common developmental disorders in children are language delays, which are frequently the first symptoms of a possible disorder.OBJECTIVE: This paper evaluates a Web-based Clinical Decision Support System (CDSS) whose aim is to enhance the screening of language disorders at a nursery school. The common lack of early diagnosis of language disorders led us to deploy an easy-to-use CDSS in order to evaluate its accuracy in early detection of language pathologies. This CDSS can be used by pediatricians to support the screening of language disorders in primary care.METHODS: This paper details the evaluation results of the "Gades" CDSS at a nursery school with 146 children, 12 educators, and 1 language therapist. The methodology embraces two consecutive phases. The first stage involves the observation of each child's language abilities, carried out by the educators, to facilitate the evaluation of language acquisition level performed by a language therapist. Next, the same language therapist evaluates the reliability of the observed results.RESULTS: The Gades CDSS was integrated to provide the language therapist with the required clinical information. The validation process showed a global 83.6% (122/146) success rate in language evaluation and a 7% (7/94) rate of non-accepted system decisions within the range of children from 0 to 3 years old. The system helped language therapists to identify new children with potential disorders who required further evaluation. This process will revalidate the CDSS output and allow the enhancement of early detection of language disorders in children. The system does need minor refinement, since the therapists disagreed with some questions from the CDSS knowledge base (KB) and suggested adding a few questions about speech production and pragmatic abilities. The refinement of the KB will address these issues and include the requested improvements, with the support of the experts who took part in the original KB development.CONCLUSIONS: This research demonstrated the benefit of a Web-based CDSS to monitor children's neurodevelopment via the early detection of language delays at a nursery school. Current next steps focus on the design of a model that includes pseudo auto-learning capacity, supervised by experts.

Resumo Limpo

ckground earli effect identif development disord childhood remain critic task intern communiti second highest preval common development disord children languag delay frequent first symptom possibl disorderobject paper evalu webbas clinic decis support system cdss whose aim enhanc screen languag disord nurseri school common lack earli diagnosi languag disord led us deploy easytous cdss order evalu accuraci earli detect languag patholog cdss can use pediatrician support screen languag disord primari caremethod paper detail evalu result gade cdss nurseri school children educ languag therapist methodolog embrac two consecut phase first stage involv observ child languag abil carri educ facilit evalu languag acquisit level perform languag therapist next languag therapist evalu reliabl observ resultsresult gade cdss integr provid languag therapist requir clinic inform valid process show global success rate languag evalu rate nonaccept system decis within rang children year old system help languag therapist identifi new children potenti disord requir evalu process will revalid cdss output allow enhanc earli detect languag disord children system need minor refin sinc therapist disagre question cdss knowledg base kb suggest ad question speech product pragmat abil refin kb will address issu includ request improv support expert took part origin kb developmentconclus research demonstr benefit webbas cdss monitor children neurodevelop via earli detect languag delay nurseri school current next step focus design model includ pseudo autolearn capac supervis expert

Resumos Similares

AMIA Annu Symp Proc - Application of a temporal reasoning framework tool in analysis of medical device adverse events. ( 0,766697684659862 )
J Integr Bioinform - Automatic extraction of microorganisms and their habitats from free text using text mining workflows. ( 0,761797935956104 )
J Am Med Inform Assoc - Anaphoric relations in the clinical narrative: corpus creation. ( 0,760382322494175 )
Int J Med Inform - Detecting temporal expressions in medical narratives. ( 0,752949335291052 )
J Am Med Inform Assoc - An end-to-end system to identify temporal relation in discharge summaries: 2012 i2b2 challenge. ( 0,749218469236915 )
J. Med. Internet Res. - Web 2.0-based crowdsourcing for high-quality gold standard development in clinical natural language processing. ( 0,745488987834445 )
J Am Med Inform Assoc - Evaluating the impact of pre-annotation on annotation speed and potential bias: natural language processing gold standard development for clinical named entity recognition in clinical trial announcements. ( 0,744436910135739 )
J Am Med Inform Assoc - Eventual situations for timeline extraction from clinical reports. ( 0,7442224131323 )
AMIA Annu Symp Proc - Automated illustration of patients instructions. ( 0,744139758456004 )
J Am Med Inform Assoc - A hybrid system for temporal information extraction from clinical text. ( 0,742486028902074 )
J Am Med Inform Assoc - Evaluating temporal relations in clinical text: 2012 i2b2 Challenge. ( 0,740048837797213 )
AMIA Annu Symp Proc - Inter-annotator reliability of medical events, coreferences and temporal relations in clinical narratives by annotators with varying levels of clinical expertise. ( 0,739664457585726 )
J Am Med Inform Assoc - Assessing the role of a medication-indication resource in the treatment relation extraction from clinical text. ( 0,737188224929818 )
AMIA Annu Symp Proc - Natural language processing to extract follow-up provider information from hospital discharge summaries. ( 0,736968478647495 )
J Biomed Inform - Lessons learnt from the DDIExtraction-2013 Shared Task. ( 0,736453724505537 )
AMIA Annu Symp Proc - Automatically pairing measured findings across narrative abdomen CT reports. ( 0,735705747480638 )
J Biomed Inform - Development and evaluation of RapTAT: a machine learning system for concept mapping of phrases from medical narratives. ( 0,735120450533819 )
AMIA Annu Symp Proc - Throw the bath water out, keep the baby: keeping medically-relevant terms for text mining. ( 0,733866641524721 )
J Am Med Inform Assoc - Combining rules and machine learning for extraction of temporal expressions and events from clinical narratives. ( 0,733396611782131 )
AMIA Annu Symp Proc - Building gold standard corpora for medical natural language processing tasks. ( 0,732351541884428 )
AMIA Annu Symp Proc - Natural language processing for lines and devices in portable chest x-rays. ( 0,732341671847454 )
J Biomed Inform - UMLS content views appropriate for NLP processing of the biomedical literature vs. clinical text. ( 0,728909428952954 )
AMIA Annu Symp Proc - Mapping annotations with textual evidence using an scLDA model. ( 0,726120402005887 )
J Biomed Inform - Towards generating a patient's timeline: extracting temporal relationships from clinical notes. ( 0,722345831241507 )
J Am Med Inform Assoc - MedXN: an open source medication extraction and normalization tool for clinical text. ( 0,722135415783009 )
J Biomed Inform - Anaphoric reference in clinical reports: characteristics of an annotated corpus. ( 0,71965487222943 )
AMIA Annu Symp Proc - Detecting abbreviations in discharge summaries using machine learning methods. ( 0,719109406036415 )
AMIA Annu Symp Proc - A Knowledge Intensive Approach to Mapping Clinical Narrative to LOINC. ( 0,71829754577154 )
J Biomed Inform - Automatically extracting information needs from complex clinical questions. ( 0,715854078210146 )
Artif Intell Med - Biomedical events extraction using the hidden vector state model. ( 0,714183344456565 )
Comput Math Methods Med - Ranking biomedical annotations with annotator's semantic relevancy. ( 0,713790865192121 )
J Am Med Inform Assoc - The effect of word familiarity on actual and perceived text difficulty. ( 0,713529796086582 )
J Biomed Inform - A concept-driven biomedical knowledge extraction and visualization framework for conceptualization of text corpora. ( 0,713487913880486 )
J Am Med Inform Assoc - A sense inventory for clinical abbreviations and acronyms created using clinical notes and medical dictionary resources. ( 0,71249312838732 )
Int J Med Inform - Bootstrapping a de-identification system for narrative patient records: cost-performance tradeoffs. ( 0,711750260842149 )
J Biomed Inform - MedTime: a temporal information extraction system for clinical narratives. ( 0,707591605698026 )
J Biomed Inform - Relation mining experiments in the pharmacogenomics domain. ( 0,706761116567439 )
J Am Med Inform Assoc - Syntactic parsing of clinical text: guideline and corpus development with handling ill-formed sentences. ( 0,705667407075818 )
J Biomed Inform - The DDI corpus: an annotated corpus with pharmacological substances and drug-drug interactions. ( 0,705254654660165 )
J Am Med Inform Assoc - MITRE system for clinical assertion status classification. ( 0,704742034694833 )
Appl Clin Inform - Representation of information about family relatives as structured data in electronic health records. ( 0,70468638511893 )
AMIA Annu Symp Proc - A comparative study of current Clinical Natural Language Processing systems on handling abbreviations in discharge summaries. ( 0,704179438433772 )
J Biomed Inform - Evaluating the effects of machine pre-annotation and an interactive annotation interface on manual de-identification of clinical text. ( 0,703251118670078 )
J Am Med Inform Assoc - Knowledge-based biomedical word sense disambiguation: an evaluation and application to clinical document classification. ( 0,701370675445885 )
J Biomed Inform - Text de-identification for privacy protection: a study of its impact on clinical text information content. ( 0,700232723714149 )
AMIA Annu Symp Proc - Pharmacovigilance on twitter? Mining tweets for adverse drug reactions. ( 0,700175417475543 )
J Am Med Inform Assoc - A flexible framework for recognizing events, temporal expressions, and temporal relations in clinical text. ( 0,700106106482594 )
Int J Med Inform - Detection of infectious symptoms from VA emergency department and primary care clinical documentation. ( 0,699428906008766 )
J Biomed Inform - Lexical patterns, features and knowledge resources for coreference resolution in clinical notes. ( 0,698928897751919 )
BMC Med Inform Decis Mak - Text summarization as a decision support aid. ( 0,696582315228769 )
AMIA Annu Symp Proc - Semantic processing to identify adverse drug event information from black box warnings. ( 0,696211733491344 )
J Biomed Inform - Semi-automatic semantic annotation of PubMed queries: a study on quality, efficiency, satisfaction. ( 0,696003571171422 )
AMIA Annu Symp Proc - Voice-dictated versus typed-in clinician notes: linguistic properties and the potential implications on natural language processing. ( 0,692778865859983 )
J Biomed Inform - Degree centrality for semantic abstraction summarization of therapeutic studies. ( 0,69072546211016 )
J Am Med Inform Assoc - Functional evaluation of out-of-the-box text-mining tools for data-mining tasks. ( 0,687065261117372 )
J Biomed Inform - Identifying non-elliptical entity mentions in a coordinated NP with ellipses. ( 0,686312225598743 )
Int J Med Inform - A methodology to enhance spatial understanding of disease outbreak events reported in news articles. ( 0,68537008528266 )
J Am Med Inform Assoc - Assisted annotation of medical free text using RapTAT. ( 0,684773385421678 )
J Biomed Inform - A new clustering method for detecting rare senses of abbreviations in clinical notes. ( 0,683530328011723 )
J Med Syst - Redactable signatures for signed CDA Documents. ( 0,681919041911098 )
AMIA Annu Symp Proc - Semantic characteristics of NLP-extracted concepts in clinical notes vs. biomedical literature. ( 0,680931130648873 )
AMIA Annu Symp Proc - Semantic processing to identify adverse drug event information from black box warnings. ( 0,678921841802274 )
J Biomed Inform - NCBI disease corpus: a resource for disease name recognition and concept normalization. ( 0,678186860979789 )
J Am Med Inform Assoc - Automatic discourse connective detection in biomedical text. ( 0,677643176434719 )
J Am Med Inform Assoc - A la Recherche du Temps Perdu: extracting temporal relations from medical text in the 2012 i2b2 NLP challenge. ( 0,677500833480317 )
J Biomed Inform - Extraction of events and temporal expressions from clinical narratives. ( 0,677352018507724 )
J Am Med Inform Assoc - Evaluating the state of the art in disorder recognition and normalization of the clinical narrative. ( 0,67432007678343 )
AMIA Annu Symp Proc - Extracting patient demographics and personal medical information from online health forums. ( 0,673531140124969 )
Sci Data - Building the graph of medicine from millions of clinical narratives. ( 0,673259128428765 )
AMIA Annu Symp Proc - ADESSA: A Real-Time Decision Support Service for Delivery of Semantically Coded Adverse Drug Event Data. ( 0,67219756502962 )
AMIA Annu Symp Proc - Qualitative analysis of workflow modifications used to generate the reference standard for the 2010 i2b2/VA challenge. ( 0,672107698993124 )
J Am Med Inform Assoc - Extracting drug indication information from structured product labels using natural language processing. ( 0,67197736129256 )
Comput. Biol. Med. - A P300-based brain computer interface system for words typing. ( 0,671802630849013 )
J Am Med Inform Assoc - Capturing patient information at nursing shift changes: methodological evaluation of speech recognition and information extraction. ( 0,671739742291578 )
J Am Med Inform Assoc - Large-scale evaluation of automated clinical note de-identification and its impact on information extraction. ( 0,668649823039857 )
Appl Clin Inform - Clinical communication in diagnostic imaging studies: mixed-method study of pre- and post-implementation of a hospital information system. ( 0,667992790268634 )
AMIA Annu Symp Proc - TagLine: Information Extraction for Semi-Structured Text in Medical Progress Notes. ( 0,667472182241285 )
Brief. Bioinformatics - A survey on annotation tools for the biomedical literature. ( 0,667269742483473 )
Comput Methods Programs Biomed - BioAnnote: a software platform for annotating biomedical documents with application in medical learning environments. ( 0,667055926507961 )
J Am Med Inform Assoc - A study of machine-learning-based approaches to extract clinical entities and their assertions from discharge summaries. ( 0,666403833560351 )
J Am Med Inform Assoc - 2010 i2b2/VA challenge on concepts, assertions, and relations in clinical text. ( 0,665964202136191 )
AMIA Annu Symp Proc - Extracting semantic lexicons from discharge summaries using machine learning and the C-Value method. ( 0,665794612583566 )
Perspect Health Inf Manag - A comparison of two approaches to text processing: facilitating chart reviews of radiology reports in electronic medical records. ( 0,66397816588445 )
J Biomed Inform - The EU-ADR corpus: annotated drugs, diseases, targets, and their relationships. ( 0,660232189105813 )
J Am Med Inform Assoc - Developing and evaluating an automated appendicitis risk stratification algorithm for pediatric patients in the emergency department. ( 0,659539233497458 )
Appl Clin Inform - A qualitative analysis evaluating the purposes and practices of clinical documentation. ( 0,658933625106743 )
J Am Med Inform Assoc - Using rule-based natural language processing to improve disease normalization in biomedical text. ( 0,657988302534154 )
BMC Med Inform Decis Mak - The freetext matching algorithm: a computer program to extract diagnoses and causes of death from unstructured text in electronic health records. ( 0,656557729942438 )
AMIA Annu Symp Proc - Extracting Concepts Related to Homelessness from the Free Text of VA Electronic Medical Records. ( 0,654254369865273 )
AMIA Annu Symp Proc - Towards a semantic lexicon for clinical natural language processing. ( 0,654018484391182 )
J Biomed Inform - Text summarization in the biomedical domain: a systematic review of recent research. ( 0,653878865837452 )
J Am Med Inform Assoc - A rule based solution to co-reference resolution in clinical text. ( 0,653866249389903 )
J Biomed Inform - Desiderata for ontologies to be used in semantic annotation of biomedical documents. ( 0,653863805111377 )
J Am Med Inform Assoc - Vaccine adverse event text mining system for extracting features from vaccine safety reports. ( 0,652474315626294 )
J Am Med Inform Assoc - Automatic abstraction of imaging observations with their characteristics from mammography reports. ( 0,652321303145588 )
J Am Med Inform Assoc - Towards comprehensive syntactic and semantic annotations of the clinical narrative. ( 0,652139758365944 )
AMIA Annu Symp Proc - Leveraging rich annotations to improve learning of medical concepts from clinical free text. ( 0,65191795924028 )
J Am Med Inform Assoc - Hybrid methods for improving information access in clinical documents: concept, assertion, and relation identification. ( 0,651380089583575 )
J Biomed Inform - Ontology-guided feature engineering for clinical text classification. ( 0,650557614188041 )
J Am Med Inform Assoc - Comparison of a semi-automatic annotation tool and a natural language processing application for the generation of clinical statement entries. ( 0,650089237768824 )